Wiki 20930 & 20936

[JUDYSTRADER]

My surgeon insists on billing the 20930(bone allograft) and 20936(bone autograft) with the laminectomy(63047) and fusion(22612) codes. Since they are not allowed by Medicare and several other commercial carriers(denial code B15), is there a better way to bill these services, so that I don't have to keep adjusting them off?

 

[Kstrobel]

Karen

There do not have RVU value so I was told not to code them

 

[LLynn29]

To my knowledge, BCBS still pays these codes.

 

[JUDYSTRADER]

Thanks! I believe I recently received payment from them, too, but no other carrrier.

 

[lisa2010]

FYI Added info

My surgeon frequently bills for these same codes. I have coded 20930 with the dx for the 63047 and the 20936 with the dx for the 22612 and have been paid for both from most private payers. Cigna, BCBS, Aetna, UHC. Of course I also precerted the procedures the same way.